Radiation Oncology Solutions in Tanzania.
Radiation Oncology Solutions in Tanzania.
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坦桑尼亚的放射肿瘤学解决方案。
DOI：
10.1016/j.ijrobp.2015.08.043
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Ngwa,Wilfred
中科院分区：
文献类型：
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作者：
Avery,Stephen;Kenton,Owen;binDachi,Jumaa;Metz,James;Ngwa,Wilfred
最新的人口普查显示坦桑尼亚人口为 4500 万 (1)，只有 1 个放射治疗中心。坦桑尼亚公民的所有癌症治疗都是免费的；然而，那些拥有医疗保险的人必须通过保险支付费用作为分摊费用。坦桑尼亚的大多数人在到达大洋路癌症研究所之前就死于癌症，因为大多数是低收入人群，他们无力承担早期发现的医疗检查费用。 2013 年 9 月，宾夕法尼亚大学的物理学家开始与大洋路癌症研究所的治疗物理学家 Jumaa bin Dachi 合作。我们希望制定一个可以在国外轻松实施的工作质量保证（QA）计划。建立这种合作伙伴关系后，很明显，质量检查并不是唯一需要我们的领域。相反，我们发现自己在与 Jumaa 举行的 8 次定性会议过程中建立了双边学习伙伴关系，并在大洋路癌症研究所确定了以下需求。临床需求如下：本地服务支持；外照射放射治疗的治疗计划；近距离放射治疗的治疗计划；临床标记；治疗计划系统的质量控制；门户验证；剂量测定；放射治疗中的体内剂量测定技术；制定协议；辐射防护；和放射生物学。学术需求包括教授放射治疗技术员 RTT 学生；医学物理学电子学习课程；并准备考试/作业问题。
The latest census indicates the population of Tanzania at 45 million (1), with only 1 radiation therapy center. All treatment of cancer is free of charge for a Tanzanian citizen; however, those who have medical insurance are required to pay through their insurance as cost sharing. Most of the people in Tanzania die with cancer before reaching the Ocean Road Cancer Institute, because the majority are low-income people who cannot afford the expense of medical examinations for early detection.In September of 2013 physicists at the University of Pennsylvania began working with Jumaa bin Dachi, a therapy physicist at the Ocean Road Cancer Institute. We hoped to develop a working quality assurance (QA) program that could be easily implemented from abroad. After entering into this partnership it became readily evident that QA was not the only area in which we were needed. Instead we found ourselves entering into a bilateral learning partnership over the course of 8 qualitative meetings with Jumaa and established the following needs at the Ocean Road Cancer Institute. Clinical needs were these: local service support; treatment planning for external beam radiation therapy; treatment planning for brachytherapy; clinical markings; quality control of the treatment planning system; portal verification; dosimetry; in vivo dosimetry techniques in radiation therapy; establishment of protocol; radiation protection; and radiobiology. Academic needs included teaching Radiation Therapy Technologists RTT students; e-learning programs in medical physics; and preparing examination/homework questions.